Individual provider Active NPI

Dylan Caperton Brock, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Aurora, CO
National Provider Identifier
1992190730
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
DR.0065028 Issued in CO
Practice address
13001 E. 17TH Place
University of Colorado School of Medicine Gme
Aurora, CO 80045-2581
Phone
(720) 777-6738
NPI assigned
Mar 30, 2015
Last updated
Dec 21, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X DR.0065028 CO Primary

Addresses

Primary practice location

13001 E. 17TH Place
University of Colorado School of Medicine Gme
Aurora, CO 80045-2581

Mailing address

PO Box 110429
Aurora, CO 80042-0429

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210819003719 KY Practitioner - Neurology 2567758071 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Louisville School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1000 Breckenridge St
Suite 301
Owensboro, KY 42303-0877
Phone (502) 559-1670

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
97.07
Promoting interoperability
100
Improvement activities
40
Cost
76.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Children's Medical Group, LLC Neurology With Special Qualifications in Child Neurology CurrentSince Sep 1, 2021 Accepting new patients
Norton Children's Medical Group, LLC Current Accepting new patients
Norton Children's Medical Group, LLC CurrentSince Sep 1, 2021 Accepting new patients
Norton Childrens Medical Group, LLC Past Accepting new patients
Norton Hospitals, Inc Past Accepting new patients

Locations

57 Summit Dr
Corbin, KY 40701
Phone (606) 528-9700

1301 Ring Rd
Elizabethtown, KY 42701
Phone (270) 765-2107

1100 E Market St
Louisville, KY 40206
Phone (502) 596-1000

210 E Gray St
Ste 1105
Louisville, KY 40202
Phone (502) 583-1609

411 E Chestnut St
#6
Louisville, KY 40202
Phone (502) 588-9587

4123 Dutchmans Ln
Ste 102
Louisville, KY 40207
Phone (502) 559-1670

601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670

9880 Angies Way
Ste 170
Louisville, KY 40241
Phone (502) 629-5455

9880 Angies Way
Ste 330
Louisville, KY 40241
Phone (502) 588-2220

1000 Breckenridge St
Ste 301
Owensboro, KY 42303
Phone (270) 852-8894

1201 Pleasant Valley Rd
Owensboro, KY 42303
Phone (270) 417-2000

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

150 Frankfort Rd
Ste 101
Shelbyville, KY 40065
Phone (502) 647-5468

Interoperability endpoints

  • Direct secure messaging: dbrock60758@direct.nortonhealthcare.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1992190730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110429",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800420429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13001 E. 17TH PLACE",
            "address_2": "UNIVERSITY OF COLORADO SCHOOL OF MEDICINE GME",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800452581",
            "telephone_number": "720-777-6738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "DYLAN",
        "middle_name": "CAPERTON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-30",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "CO",
            "license": "DR.0065028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.